2019 Mentee Intake Form

Section 1 of 5

I am a TiE New York

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Member

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Non-Member or Meetup Member, I understand that I will NOT be matched until I join on ny.tie.org

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After section 1

Section 2 of 5

First Name

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Last Name

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Email

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Mobile Phone

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After section 2

Section 3 of 5

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In which area(s) are you seeking to have mentoring support?

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Strategy

Marketing

Operations

Fundraising

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Do you have any preferences or comments that would aid us in matching you?

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After section 3

Section 4 of 5

Company Name

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Website

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Company Description

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Industry Focus (ie Edtech, Fintech, Medtech)

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After section 4

Section 5 of 5

Do you plan to attend our monthly mentoring workshops on third Tuesdays through June?

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I will make my best effort to attend the workshops as well as work with my mentor outside of the sessions.

I only want one-on-one mentoring and do not plan to attend workshops

I want one-on-one mentoring and hope to come to a workshops only if my schedule permits.

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If you would like to attend workshops at Nixon Peabody, please let us know what your current availability is:

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Tuesday February 19 6-8 pm

Tuesday March 19 6-8 pm

Tuesday April 16 6-8 pm

Tuesday May 21 6-8 pm

I don't plan to attend any.workshops

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Are you planning to apply to our next pitch competition (tentatively June 10)?

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Yes!

Depends how fast I can prepare

Sounds cool, maybe after I learn more about its requirements

I doubt I will be ready to present my business so soon

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Please read TiE New York's Code of Conduct

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TiE is an international organization of leading entrepreneurs that provides exclusive peer-to-peer and event-driven learning and networking community. The integrity of our organization and the respect by and among our members are paramount to our long-term success. As such, confidentiality, courtesy and accountability are the cornerstones of the conduct we expect from our members, and all who interact with our organization.  Each member, vendor and sponsor pledges to adhere to the following code:   Mutual respect for the confidentiality and integrity of the individuals and the companies involved, please be transparent about conflicts and steer clear of anything that is close to gray areas in the legal or moral code.   Follow good Samaritan policies and the simple rule that is an environment to share and give (not take), specially the spirit of non-solicitation – understand and acknowledge our members’ ability to attend events and interact with each other in a safe and relaxed environment.  Maintain exemplary standards of professional conduct and high ethical standards in the operation of your venture.   Strive to always understand and fulfill my obligations to the organization and commitments you have made on a timely and productive basis, undertakings to volunteer in connection with events.   Maintain standards of professionalism and courtesy in any interaction with staff, sponsors, other volunteers in all communications, respect for their intellectual property as well as recognizing the importance of their reputation and character. Understand that verbal abuse of staff against fellow members or staff will not be tolerated and may be grounds for expulsion.We appreciate your efforts to honor this policy. Failure to act in a professional manner at events or with members could lead to lack of renewal of membership and/or termination of membership with no refund.  Please always feel free to send your feedback, thoughts and ideas directly to the Board of Directors.

I have read TiE New York's code of conduct and I agree to follow it.

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